Hospital Oncology Authorization Specialist

University of Southern California; Los Angeles (CA); On-site; USD 33,000 - 55,000; Full time

Job summary

The University of Southern California seeks a Clinical Authorization Specialist to secure medical authorizations for outpatient and inpatient chemo, working with medical staff and pharmacy to streamline patient care. You will manage documentation, tracking, and outcomes, and collaborate with the Director and supervisory teams in the Norris Clinical Authorization Center.

Requirements include a high school diploma, 2 years in a medical setting or health insurer, strong organization and

Qualifications

• Req High school or equivalent or equivalent evidence in file.
• Req 2 years of experience in a hospital, medical office/doctor’s office or working for a health insurer required.
• Req Excellent time management, organizational skills, research/analytical skills, negotiation, communication (written and verbal), and interpersonal skills.

Responsibilities

• Actively obtain written clinical documentation for chemotherapy authorizations in Keckcare for authorization submission from Medical/Nursing Staff.
• Submit pre-certification/pre determination documentation to third party payers for authorization with correct CPT and ICD coding.
• Research payers policy requirements for chemotherapy authorizations and submit pre-certification/pre-determination requests.
• Utilize Excel Macro tracking log to document requests and provide outcomes to the Supervisor daily.
• Enroll patients in manufacturer patient assistance programs and follow-up regarding enrollment.

Skills

Time management

Organizational skills

Research/analytic

Negotiation

Communication

Education

High school diploma or equivalent

Job description

The University of Southern California seeks a Clinical Authorization Specialist to secure medical authorizations for outpatient and inpatient chemo, working with medical staff and pharmacy to streamline patient care. You will manage documentation, tracking, and outcomes, and collaborate with the Director and supervisory teams in the Norris Clinical Authorization Center.

Requirements include a high school diploma, 2 years in a medical setting or health insurer, strong organization and